Active NPI
Roseline Carelus, NP
- Adult Health Nurse Practitioner
- Freeport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305252
- Practice address
- 309 Lena Avenue
Freeport, NY 11520 - Phone
- (516) 662-3979
- Fax
- (516) 379-4879
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 428863 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F305252 | NY | Primary |
Addresses
Primary practice location
309 Lena Avenue
Freeport, NY 11520
Mailing address
309 Lena Avenue
Freeport, NY 11520
Phone (516) 662-3979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428863 | Other | NY | NY STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 S Bergen PL
Freeport, NY 11520-3528
Phone (516) 623-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 428863 | NY | MD | Registered Nurse |
| F305252 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical of New York PC | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Elmont Community Health Center | Past | Accepting new patients |
Locations
101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600
135 Main St
Hempstead, NY 11550
Phone (516) 292-3111
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200
1600 Stewart Ave
Ste 300
Westbury, NY 11590
Phone (516) 546-4209
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- roseline.carelus@lifqhc.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Elmont, NY
- NPI 1336669670
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
-
- Federally Qualified Health Center (FQHC)
- North Baldwin, NY
- NPI 1205704319
-
- Federally Qualified Health Center (FQHC)
- Freeport, NY
- NPI 1881028108
-
- Clinic/Center
- Elmont, NY
- NPI 1467478362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1760699060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 LENA AVENUE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "11520",
"telephone_number": "516-662-3979",
"fax_number": "516-379-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 LENA AVENUE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "11520",
"telephone_number": "516-662-3979",
"fax_number": "516-379-4879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARELUS",
"first_name": "ROSELINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "428863",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE NUMBER",
"identifier": "428863",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.